<td class="pageContents">
<p class="locationBar">
<strong><a href="<?php echo base_url();?>">ITB - Repository</a></strong>
</p>
<p></p>
	<h1>Daftar Informasi</h1>
	<p>Please enter the following information.  The fields marked with a * are required.</p>
    <form action="<?php echo site_url('home/do_register');?>" method="post">
<table border="0" align="center" cellpadding="5">
    <tbody><tr>
        
		<td align="right" class="standard"><strong>Nomor Induk*:</strong></td>
        <td class="standard"><input type="text" name="Noinduk" id="tfirst_name" size="40" value="<?php echo set_value('NoInduk', isset($default['NoInduk']) ? $default['NoInduk'] : ''); ?>"></td>
    </tr>
    <tr>
        
		<td align="right" class="standard"><label for="tlast_name"><strong>Email*:</strong></label></td>
        <td class="standard"><input type="text" name="Email" id="tlast_name" size="40" value="<?php echo set_value('mail', isset($default['mail']) ? $default['mail'] : ''); ?>"></td>
    </tr>
	<tr>
        
		<td align="right" class="standard"><label for="tlast_name"><strong>Username*:</strong></label></td>
        <td class="standard"><input type="text" name="Username" id="tlast_name" size="40" value="<?php echo set_value('username', isset($default['username']) ? $default['username'] : ''); ?>"></td>
    </tr>
</tbody></table>
		<p>Please choose a password and enter it into the box below, and confirm it by typing it again into the second box.  It should be at least six characters long.</p>

        <table class="misc" align="center">
            <tbody><tr>
                <td class="oddRowEvenCol">
                    <table border="0" cellpadding="5">
                        <tbody><tr>
                            
							<td align="right" class="standard"><label for="tpassword"><strong>Password:</strong></label></td>
                            <td class="standard"><input type="password" name="password" id="tpassword"></td>
                        </tr>
                        <tr>
                            
							<td align="right" class="standard"><label for="tpassword_confirm"><strong>Again to Confirm:</strong></label></td>
                            <td class="standard"><input type="password" name="txtUlangiPwd" id="tpassword_confirm"></td>
                        </tr>
                    </tbody></table>
                </td>
            </tr>
        </tbody></table>


        <input type="hidden" name="step" value="2">
        <input type="hidden" name="token" value="10d7c9a95ebc1e353357b9a272258831">
        
		<p><?php echo $error;?></p>
        
		<p align="center"><input type="submit" name="submit" value="Complete Registration"></p>
    </form>     
                </td>